PMID- 36801477
OWN - NLM
STAT- MEDLINE
DCOM- 20230523
LR  - 20230526
IS  - 1532-8406 (Electronic)
IS  - 0883-5403 (Linking)
VI  - 38
IP  - 6S
DP  - 2023 Jun
TI  - Image-Free Robotic-Assisted Total Knee Arthroplasty Results in Quicker Recovery 
      but Equivalent One-Year Outcomes Compared to Conventional Total Knee 
      Arthroplasty.
PG  - S232-S237
LID - S0883-5403(23)00131-6 [pii]
LID - 10.1016/j.arth.2023.02.023 [doi]
AB  - BACKGROUND: Few studies have addressed whether robotic-assisted total knee 
      arthroplasty (RA-TKA) significantly impacts functional outcomes. This study was 
      conducted to determine whether image-free RA-TKA improves function compared to 
      conventional total knee arthroplasty (C-TKA), performed without the utilization 
      of robotics or navigation, using the Minimal Clinically Important Difference 
      (MCID) and Patient Acceptable Symptom State (PASS) as measures of meaningful 
      clinical improvement. METHODS: A multicenter propensity score-matched 
      retrospective study was conducted of RA-TKA using an image-free robotic system 
      and C-TKA cases at an average follow-up of 14 months (range, 12 months to 20 
      months). Consecutive patients who underwent primary unilateral TKA and had a 
      preoperative and postoperative Knee Injury and Osteoarthritis Outcome Score-Joint 
      Replacement (KOOS-JR) were included. The primary outcomes were the MCID and PASS 
      for KOOS-JR. 254 RA-TKA and 762 C-TKA patients were included, with no significant 
      differences in sex, age, body mass index, or comorbidities. RESULTS: Preoperative 
      KOOS-JR scores were similar in the RA-TKA and C-TKA cohorts. Significantly 
      greater improvement in KOOS-JR scores were achieved at 4 to 6 weeks 
      postoperatively with RA-TKA compared to C-TKA. While the mean 1-year 
      postoperative KOOS-JR was significantly higher in the RA-TKA cohort, no 
      significant differences were found in the Delta KOOS-JR scores between the 
      cohorts, when comparing preoperative and 1-year postoperative. No significant 
      differences existed in the rates of MCID or PASS being achieved. CONCLUSION: 
      Image-free RA-TKA reduces pain and improves early functional recovery compared to 
      C-TKA at 4 to 6 weeks, but functional outcomes at 1 year are equivalent based on 
      the MCID and PASS for KOOS-JR.
CI  - Copyright (c) 2023 Elsevier Inc. All rights reserved.
FAU - Khan, Irfan A
AU  - Khan IA
AD  - Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, 
      Pennsylvania.
FAU - Vaile, John R
AU  - Vaile JR
AD  - Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, 
      Pennsylvania.
FAU - DeSimone, Cristian A
AU  - DeSimone CA
AD  - Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, 
      Pennsylvania.
FAU - Parsell, Douglas E
AU  - Parsell DE
AD  - Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi.
FAU - Heinze, Jared D
AU  - Heinze JD
AD  - Vail-Summit Orthopaedics and Neurosurgery Research and Education Foundation, 
      Vail, Colorado.
FAU - Alessi, Alexandra
AU  - Alessi A
AD  - Vail-Summit Orthopaedics and Neurosurgery Research and Education Foundation, 
      Vail, Colorado.
FAU - Xu, Winnie
AU  - Xu W
AD  - Columbia University Medical Center Department of Orthopaedic Surgery, New York, 
      New York.
FAU - Shah, Roshan P
AU  - Shah RP
AD  - Columbia University Medical Center Department of Orthopaedic Surgery, New York, 
      New York.
FAU - Pickering, Trevor
AU  - Pickering T
AD  - Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi.
FAU - Cafferky, Nathan L
AU  - Cafferky NL
AD  - Vail-Summit Orthopaedics and Neurosurgery Research and Education Foundation, 
      Vail, Colorado.
FAU - Lonner, Jess H
AU  - Lonner JH
AD  - Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, 
      Pennsylvania.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20230218
PL  - United States
TA  - J Arthroplasty
JT  - The Journal of arthroplasty
JID - 8703515
SB  - IM
MH  - Humans
MH  - *Arthroplasty, Replacement, Knee
MH  - Knee Joint/surgery
MH  - Treatment Outcome
MH  - Retrospective Studies
MH  - Pain, Postoperative/surgery
MH  - Patient Reported Outcome Measures
MH  - *Osteoarthritis, Knee/surgery
OTO - NOTNLM
OT  - MCID
OT  - PASS
OT  - conventional TKA
OT  - image free robotics
OT  - robotic-assisted TKA
OT  - total knee arthroplasty
EDAT- 2023/02/22 06:00
MHDA- 2023/05/23 06:42
CRDT- 2023/02/21 16:21
PHST- 2022/11/07 00:00 [received]
PHST- 2023/02/06 00:00 [revised]
PHST- 2023/02/11 00:00 [accepted]
PHST- 2023/05/23 06:42 [medline]
PHST- 2023/02/22 06:00 [pubmed]
PHST- 2023/02/21 16:21 [entrez]
AID - S0883-5403(23)00131-6 [pii]
AID - 10.1016/j.arth.2023.02.023 [doi]
PST - ppublish
SO  - J Arthroplasty. 2023 Jun;38(6S):S232-S237. doi: 10.1016/j.arth.2023.02.023. Epub 
      2023 Feb 18.